<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-heading"><h4>借卡</h4></div>
            <div class="panel-body">
                <form action="" class="form-horizontal row-border"  data-validate="parsley" id="validate-form">
                	<div class="form-group">
	                    	<label class="col-sm-3 control-label">借卡人姓名:</label>
	                    	<div class="col-sm-6">
	                    		<input type="text" name="name" id="name" class="form-control" />
	                    	</div>
                    	</div>
                    	<div class="form-group">
	                    	<label class="col-sm-3 control-label">借卡人手机:</label>
	                    	<div class="col-sm-6">
	                    		<input type="text" name="mobile" id="mobile" class="form-control" />
                    	</div>
	                    	</div>
                    	<div class="form-group">
	                    	<label class="col-sm-3 control-label">备注:</label>
	                    	<div class="col-sm-6">
	                    		<textarea name="descs" class="form-control" rows="5"></textarea>
	                    	</div>
                    	</div>
                    
                     <div class="form-group" >
                    		<label class="col-sm-3 control-label" for="card_no">卡号:</label>
                    		<div class="col-sm-6">
                    			<input type="text" placeholder="临时卡号"  data-minlength="5"  required="required"  name="card_no"  class="form-control" />
                    		</div>
                    </div>
                     <input type="hidden" name="owner_type"  value="3" readonly class="form-control" />
                </form>
            </div>
            <div class="panel-footer">
                <div class="row">
                    <div class="col-sm-6 col-sm-offset-3">
                        <div class="btn-toolbar">
                            <button class="btn-primary btn" id="form-submit">提交</button>
                            <button class="btn-default btn" data-dismiss="modal">关闭</button>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.ADMIN_VIEW_JS}temp/borrow.js'></script>